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Individual

HELEN KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
462933
CA
163WC1500X
Community Health Registered Nurse
462933
CA

Other

Enumeration date
11/20/2007
Last updated
11/20/2007
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